DEBRA R SIDEWATER

NEWINGTON, CT
NPI1174621064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: CT  000128)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- DEBRA R SIDEWATER R.D.,M.S.W.
555 WILLARD AVE NUTRITION CLINIC, SECOND FLOOR
NEWINGTON, CT 06111-2631
Phone number: 860-667-6797
Mailing Address
-- DEBRA R SIDEWATER R.D.,M.S.W.
21 VANDERVERE RD
WEST HARTFORD, CT 06117-2745
Phone number: 860-232-0780
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